BOOK
Workbook for Egan's Fundamentals of Respiratory Care - E-Book
Robert M. Kacmarek | Stephen F. Wehrman
(2013)
Additional Information
Book Details
Abstract
What do I need to know? Why do I need to know it? And how will I use it? Focusing on the most important concepts in the Egan's 10th Edition text, this workbook helps you answer these questions and develop a deeper understanding of respiratory care through real-life examples, key points, and a wide range of activities.
- Chapter-specific exercises offer various activities, such as exercises on ethics, equipment, and mathematics.
- Word Wizard tests your knowledge of key terms.
- Meet the Objectives gives you a way to assess your learning.
- Key Points identify key concepts from the chapter.
- Case studies help you practice critical thinking.
- Food for Thought offers thought-provoking tips and questions.
- Information Age highlights all the resources available to you on the web.
- A Picture is Worth (including Pneumo-nuggets) features a mixture of labeling exercises and "nuggets" of information in the form of tips or questions.
- Updated content reflects the changes in the 10th edition of the text.
- 20% more NBRC-style questions help you pass the NBRC examination.
- More critical-thinking/essay questions allow you to apply your learning.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Workbook for Egan’s Fundamentals of Respiratory Care | i | ||
Copyright | ii | ||
Dedication | iii | ||
Preface | v | ||
Contents | vii | ||
Section I: Foundations of Respiratory Care | 1 | ||
Chapter 1: History of Respiratory Care | 1 | ||
Word Wizard | 1 | ||
Meet the Objectives | 2 | ||
Summary Checklist | 3 | ||
Food for Thought | 3 | ||
Chapter 2: Quality and Evidence-Based Respiratory Care | 5 | ||
Word Wizard | 5 | ||
Meet the Objectives | 5 | ||
Summary Checklist | 6 | ||
Case Studies | 7 | ||
What Does the NBRC Say? | 8 | ||
Food for Thought | 8 | ||
Chapter 3: Patient Safety, Communication, and Recordkeeping | 9 | ||
Word Wizard | 9 | ||
You’ll Get a Charge out of This | 9 | ||
Burn, Baby, Burn | 9 | ||
Keep it Moving! | 9 | ||
I Can’t Hear You | 10 | ||
Meet The Objectives | 10 | ||
Summary Checklist | 11 | ||
Case Studies | 12 | ||
What Does the NBRC Say? | 13 | ||
Food for Thought | 14 | ||
Chapter 4: Principles of Infection Prevention and Control | 15 | ||
Word Wizard | 15 | ||
Meet the Objectives | 15 | ||
Summary Checklist | 17 | ||
Case Studies | 18 | ||
What Does the NBRC Say? | 20 | ||
Food for Thought | 20 | ||
Chapter 5: Ethical and Legal Implications of Practice | 23 | ||
Word Wizard | 23 | ||
Meet the Objectives | 24 | ||
Case Studies | 24 | ||
What About Ethics? | 26 | ||
Case Studies | 27 | ||
Summary Checklist | 29 | ||
Food for Thought | 29 | ||
Chapter 6: Physical Principles of Respiratory Care | 31 | ||
Word Wizard | 31 | ||
Meet the Objectives | 32 | ||
Obey the Laws | 33 | ||
Try It, You’ll Like It! | 33 | ||
Case Studies | 35 | ||
Mathematics | 36 | ||
Summary Checklist | 38 | ||
What Does the NBRC Say? | 38 | ||
Food for Thought | 38 | ||
Chapter 7: Computer Applications in Respiratory Care | 39 | ||
Word Wizard | 39 | ||
Computerese | 39 | ||
Talk to Me! | 39 | ||
Computers In Health Care | 39 | ||
Garbage In, Garbage Out | 40 | ||
Case Studies | 41 | ||
Practice makes Perfect! | 42 | ||
Activity 1: Information Search | 42 | ||
Activity 2: Evaluate! | 43 | ||
Activity 3: Respiratory Care! | 43 | ||
Food for Thought | 43 | ||
A Final Thought | 44 | ||
Section II: Applied Anatomy and Physiology | 45 | ||
Chapter 8: The Respiratory System | 45 | ||
Word Wizard | 45 | ||
Just Like Dear Old Dad | 45 | ||
Fetal Facts | 46 | ||
They Aren’t Just Little Adults . . . | 47 | ||
A Picture is Worth a Thousand . . . | 48 | ||
Pneumopnuggets | 48 | ||
Pneumopnuggets | 49 | ||
Lobes and Segments | 52 | ||
Meet the Objectives | 53 | ||
Summary Checklist | 53 | ||
Case Studies | 54 | ||
What Does the NBRC Say? | 55 | ||
Food for Thought | 55 | ||
Chapter 9: The Cardiovascular System | 57 | ||
Word Wizard | 57 | ||
Meet the Objectives | 57 | ||
Summary Checklist | 58 | ||
Case Studies | 59 | ||
What Does the NBRC Say? | 60 | ||
Food for Thought | 60 | ||
Chapter 10: Ventilation | 61 | ||
Word Wizard | 61 | ||
Picture this | 61 | ||
Work of Breathing | 62 | ||
Compliance | 63 | ||
Resistance | 64 | ||
Active Exhalation | 65 | ||
Ventilatory Pattern | 65 | ||
Dead Space | 66 | ||
Mathematics | 67 | ||
What Does the NBRC Say? | 68 | ||
Chapter 11: Gas Exchange and Transport | 69 | ||
Word Wizard | 69 | ||
All Aboard | 69 | ||
Why Be Normal? | 69 | ||
Oxygen Transport | 69 | ||
Why? | 70 | ||
Mathematics | 70 | ||
Barriers to Diffusion | 71 | ||
Let’s get Moving! | 71 | ||
Mathematics | 71 | ||
The Moral of the Story | 72 | ||
Throw me a Curve | 72 | ||
Fick It | 73 | ||
Carbon Dioxide Transport | 73 | ||
Bad Gas Exchange | 73 | ||
What Does the NBRC Say? | 74 | ||
Case Studies | 74 | ||
Summary Checklist | 76 | ||
Food for Thought | 77 | ||
Dysoxia | 77 | ||
Food For Thought Part Deux | 77 | ||
Chapter 12: Solutions, Body Fluids, and Electrolytes | 79 | ||
Word Wizard | 79 | ||
Water, Water Everywhere | 80 | ||
Where has all the Water Gone? | 80 | ||
Acid-Base Basics | 81 | ||
Electrifying Information | 82 | ||
Case Studies | 83 | ||
Mathematics | 84 | ||
What Does the NBRC Say? | 85 | ||
Food for Thought | 86 | ||
Chapter 13: Acid-Base Balance | 87 | ||
Word Wizard | 87 | ||
Where has all the Acid Gone? | 88 | ||
Balancing Act | 89 | ||
A Method to the Madness | 90 | ||
Try it, you'll like it! | 90 | ||
Welcome To The Gap! | 91 | ||
Mathematics | 91 | ||
Case Studies | 93 | ||
What Does the NBRC Say? | 94 | ||
Exercise Your Mental Muscles | 95 | ||
Food for Thought | 96 | ||
Chapter 14: Regulation of Breathing | 97 | ||
Word Wizard | 97 | ||
Where’s the Action? | 97 | ||
Automatic Pilot | 98 | ||
Better Living Through Chemistry | 99 | ||
Central Chemoreceptors | 99 | ||
Peripheral Chemoreceptors | 99 | ||
No One Understands Me! | 100 | ||
Ouch! | 100 | ||
Case Studies | 101 | ||
What Does the NBRC Say? | 102 | ||
Experiment | 103 | ||
Summary Checklist | 104 | ||
Food for Thought | 104 | ||
A Little More Food for Thought | 104 | ||
Section III: Assessment of Respiratory Disorders | 105 | ||
Chapter 15: Bedside Assessment of the Patient | 105 | ||
Word Wizard | 105 | ||
Start At The Beginning | 106 | ||
Are You Asking The Questions Correctly? | 106 | ||
Signs and Symptoms of Cardiopulmonary Disease | 107 | ||
Medical History | 109 | ||
Level Of Consciousness | 110 | ||
Vital Information | 110 | ||
Examining The Chest And Lungs | 112 | ||
Extremity Exam | 116 | ||
Case Studies | 117 | ||
What Does the NBRC Say? | 119 | ||
Chapter 16: Interpreting Clinical Laboratory Data | 121 | ||
Word Wizard | 121 | ||
Lab Tests | 121 | ||
White | 121 | ||
Red | 122 | ||
Electrolytes | 122 | ||
Enzymes | 123 | ||
Clotting Is Cool | 124 | ||
Sputum Is Our Bread And Butter | 125 | ||
Case Studies | 125 | ||
What Does the NBRC Say? | 126 | ||
Food for Thought | 126 | ||
Chapter 17: Interpreting the Electrocardiogram | 127 | ||
A Picture is Worth . . . | 127 | ||
Making Measurements | 129 | ||
Start At The Beginning | 129 | ||
Step 1: Evaluate the Rate | 129 | ||
Step 2: Measure the P–R Interval | 130 | ||
Step 3: Evaluate the QRS Complex | 130 | ||
Step 4: Evaluate the T Wave | 131 | ||
Step 5: Evaluate the ST Segment | 131 | ||
Step 6: Identify the RR Interval | 132 | ||
Recognizing Arrhythmias | 132 | ||
Normal Sinus Rhythm | 132 | ||
Sinus Bradycardia | 132 | ||
Sinus Tachycardia | 133 | ||
First-Degree Heart Block | 133 | ||
Second-Degree Heart Block | 133 | ||
Third-Degree Block | 134 | ||
Atrial Dysrhythmias | 134 | ||
Premature Ventricular Contractions | 135 | ||
Ventricular Tachycardia | 135 | ||
Ventricular Fibrillation | 136 | ||
Case Studies | 136 | ||
What Does the NBRC Say? | 137 | ||
Food for Thought | 139 | ||
Chapter 18: Analysis and Monitoring of Gas Exchange | 141 | ||
Word Wizard | 141 | ||
First Things First | 141 | ||
Meet The Objectives | 142 | ||
Summary Checklist | 146 | ||
Case Studies | 147 | ||
What Does the NBRC Say? | 150 | ||
Food for Thought | 152 | ||
Chapter 19: Pulmonary Function Testing | 153 | ||
Word Wizard | 153 | ||
First Things First | 154 | ||
Meet The Objectives | 155 | ||
Lung Volumes | 155 | ||
Spirometry | 155 | ||
Diffusion | 156 | ||
Interpretation Fundamentals | 157 | ||
Case Studies | 157 | ||
What Does the NBRC Say? | 160 | ||
Food for Thought | 162 | ||
Chapter 20: Review of Thoracic Imaging | 163 | ||
Word Wizard | 163 | ||
Overview | 163 | ||
Step-by-Step | 164 | ||
Advanced Chest Imaging | 165 | ||
Identifying Abnormalities | 166 | ||
Evaluation of the Pleura | 166 | ||
Evaluation of Lung Parenchyma | 167 | ||
Let’s Get Wet! | 168 | ||
Lost Volume | 168 | ||
Catheters, Lines, and Tubes | 169 | ||
The Mediastinum | 169 | ||
Case Studies | 170 | ||
What Does the NBRC Say? | 170 | ||
Food for Thought | 172 | ||
Chapter 21: Nutrition Assessment | 173 | ||
Word Wizard | 173 | ||
Meet the Objectives | 173 | ||
Age-Related Nutrition | 175 | ||
Macronutrients | 176 | ||
Indirect Calorimetry | 177 | ||
Respiratory Consequences | 179 | ||
Enteral, Parenteral | 179 | ||
Summary Checklist | 180 | ||
Case Studies | 180 | ||
What Does the NBRC Say? | 181 | ||
Food for Thought | 181 | ||
Section IV: Review of Cardiopulmonary Disease | 183 | ||
Chapter 22: Pulmonary Infections | 183 | ||
Word Wizard | 183 | ||
Classification and Pathogenesis | 184 | ||
Microbiology | 185 | ||
Clinical Manifestations | 186 | ||
Risk Factors | 187 | ||
Diagnostic Studies | 188 | ||
Therapy | 190 | ||
Prevention | 190 | ||
Case Studies | 191 | ||
What Does the NBRC Say? | 192 | ||
Food for Thought | 193 | ||
Chapter 23: Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease (COPD), Asthma, and Related Diseases | 195 | ||
Word Wizard | 195 | ||
Chronic Obstructive Pulmonary Disease | 195 | ||
Overview | 195 | ||
Risk Factors and Pathophysiology | 197 | ||
Clinical Signs | 197 | ||
Management | 198 | ||
Asthma | 201 | ||
Overview | 201 | ||
Etiology and Pathogenesis | 201 | ||
Clinical Signs | 202 | ||
Management | 203 | ||
For a Good Time, Meet Me in the Emergency Department | 205 | ||
Bronchiectasis | 207 | ||
Case Studies | 208 | ||
What Does the NBRC Say? | 210 | ||
Food for Thought | 212 | ||
Chapter 24: Interstitial Lung Disease | 213 | ||
Word Wizard | 213 | ||
Clinical Signs and Symptoms of ILD | 213 | ||
Specific Types of ILD | 214 | ||
Case Studies | 217 | ||
What Does the NBRC Say? | 218 | ||
Food for Thought | 218 | ||
Chapter 25: Pleural Diseases | 219 | ||
Word Wizard | 219 | ||
The Pleural Space | 220 | ||
Pleural Effusions | 220 | ||
Pneumothorax | 222 | ||
Case Studies | 224 | ||
What Does the NBRC Say? | 225 | ||
Food for Thought | 227 | ||
Chapter 26: Pulmonary Vascular Disease | 229 | ||
Word Wizard | 229 | ||
Meet the Objectives | 229 | ||
Finding Pe | 232 | ||
Assess And Test | 232 | ||
Pulmonary Vascular Disease | 234 | ||
Summary Checklist | 235 | ||
Case Studies | 236 | ||
What Does the NBRC Say? | 236 | ||
Food for Thought | 237 | ||
Chapter 27: Acute Lung Injury, Pulmonary Edema, and Multiple System Organ Failure | 239 | ||
Word Wizard | 239 | ||
Meet the Objectives | 240 | ||
General Considerations | 240 | ||
Ventilator Strategies | 242 | ||
Innovative Strategies | 243 | ||
Pharmacologic Treatments | 245 | ||
Summary Checklist | 245 | ||
Case Studies | 246 | ||
What Does the NBRC Say? | 247 | ||
Food for Thought | 248 | ||
Chapter 28: Lung Cancer | 249 | ||
Word Wizard | 249 | ||
Meet the Objectives | 249 | ||
Clinical Features | 250 | ||
Diagnosis | 252 | ||
Treatment | 253 | ||
Role of the Respiratory Therapist | 254 | ||
Summary Checklist | 255 | ||
Case Studies | 255 | ||
What Does the NBRC Say? | 256 | ||
Food for Thought | 256 | ||
Chapter 29: Neuromuscular and Other Diseases of the Chest Wall | 257 | ||
Word Wizard | 257 | ||
Meet the Objectives | 257 | ||
General Principles | 257 | ||
Specific Neuromuscular Diseases | 259 | ||
Disorders of the Thoracic Cage | 261 | ||
Summary Checklist | 262 | ||
Case Studies | 263 | ||
What Does the NBRC Say? | 264 | ||
Food for Thought | 265 | ||
Chapter 30: Disorders of Sleep | 267 | ||
Word Wizard | 267 | ||
Meet the Objectives | 267 | ||
Summary Checklist | 271 | ||
What Does the NBRC Say? | 271 | ||
Food for Thought | 272 | ||
Chapter 31: Neonatal and Pediatric Respiratory Disorders | 273 | ||
Word Wizard | 273 | ||
Baby Blues | 273 | ||
Neonatal Resuscitation | 278 | ||
Pediatric Problems | 278 | ||
Case Studies | 280 | ||
What Does the NBRC Say? | 282 | ||
Food for Thought | 283 | ||
Section V: Basic Therapeutics | 285 | ||
Chapter 32: Airway Pharmacology | 285 | ||
Word Wizard | 285 | ||
Meet the Objectives | 286 | ||
Just Say Yes | 286 | ||
Adrenergic Bronchodilators | 287 | ||
Anticholinergic Bronchodilators | 289 | ||
Mucus Controlling Agents | 290 | ||
Inhaled Glucocorticoids | 291 | ||
Nonsteroidal Antiasthma Drugs | 292 | ||
Treating Infection by the Aerosol Route | 292 | ||
Influenza | 293 | ||
A Fungus Among Us | 294 | ||
Inhaled Vasodilators | 294 | ||
Case Studies | 295 | ||
What Does the NBRC Say? | 296 | ||
Food for Thought | 298 | ||
Chapter 33: Airway Management | 299 | ||
Meet the Objectives | 299 | ||
“The Halls are Alive With the Sound of Mucus . . . ” | 299 | ||
Endotracheal Suctioning | 300 | ||
Section VI: Acute and Critical Care | 403 | ||
Chapter 41: Respiratory Failure and the Need for Ventilatory Support | 403 | ||
Word Wizard | 403 | ||
So, what could go wrong? | 403 | ||
Let's Review | 404 | ||
Tell Me More | 404 | ||
Acute-On-Chronic Respiratory Failure | 405 | ||
Tube ’EM | 406 | ||
Assessment of Fatigue | 407 | ||
Strategies | 407 | ||
Lung Invasion | 409 | ||
Special Cases | 409 | ||
Summary Checklist | 410 | ||
Case Studies | 411 | ||
What does the NBRC Say? | 412 | ||
Food For Thought | 414 | ||
Chapter 42: Mechanical Ventilators | 415 | ||
Word Wizard | 415 | ||
How Ventilators Work | 415 | ||
I’m in Control | 416 | ||
Phase | 417 | ||
Mode | 418 | ||
Waveforms | 419 | ||
The Operator Interface | 420 | ||
Types of Ventilators | 420 | ||
Case Studies | 422 | ||
What does the NBRC Say? | 423 | ||
Food For Thought | 424 | ||
Chapter 43: Physiology of Ventilatory Support | 425 | ||
Word Wizard | 425 | ||
Life Under Pressure | 425 | ||
Effects of Mechanical Ventilation | 426 | ||
What About Oxygenation? | 427 | ||
Lung Mechanics | 428 | ||
Work of Breathing | 430 | ||
Physiologic Effects of Ventilatory Modes | 430 | ||
Down with the Good Lung! | 432 | ||
Not Just the Lungs | 432 | ||
Ventilator-Induced Lung Injury | 433 | ||
Summary Checklist | 434 | ||
Case Studies | 435 | ||
What does the NBRC Say? | 436 | ||
Food For Thought | 436 | ||
Chapter 44: Initiating and Adjusting Invasive Ventilatory Support | 437 | ||
First Things First | 437 | ||
Case Studies | 437 | ||
What does the NBRC Say? | 445 | ||
Food For Thought | 447 | ||
Chapter 45: Noninvasive Ventilation | 449 | ||
Word Wizard | 449 | ||
Goals and Indications | 449 | ||
Niv And Chronic Care | 451 | ||
Selection And Exclusion Criteria | 452 | ||
Tools of the Trade | 453 | ||
Masks (Interfaces) | 453 | ||
Ventilators | 454 | ||
Start Me Up | 455 | ||
What Could Go Wrong? | 456 | ||
What does the NBRC Say? | 456 | ||
Chapter 46: Monitoring the Patient in the Intensive Care Unit | 459 | ||
Word Wizard | 459 | ||
Respiratory Monitoring | 459 | ||
Monitoring Ventilation | 460 | ||
Monitoring Chest Wall Mechanics | 461 | ||
Compliance | 462 | ||
Resistance | 462 | ||
Peak and Plateau Pressures | 462 | ||
Auto-PEEP | 462 | ||
Work of Breathing | 463 | ||
Monitoring Muscle Strength | 463 | ||
Monitoring The Patient–Ventilator System | 464 | ||
Mathematics | 465 | ||
Shunt | 466 | ||
Fick | 466 | ||
Minute Ventilation | 466 | ||
Bohr | 467 | ||
Compliance | 467 | ||
Resistance | 468 | ||
Assessment of Hemodynamics | 468 | ||
Arterial lines | 468 | ||
Equipment | 469 | ||
Pulmonary Artery Pressure Monitoring | 470 | ||
Pneumopnugget | 471 | ||
What Does it All Mean? | 471 | ||
Neurologic Monitoring | 473 | ||
Troubleshooting The Patient–Ventilator System | 474 | ||
What does the NBRC Say? | 475 | ||
Food For Thought | 477 | ||
Chapter 47: Discontinuing Ventilatory Support | 479 | ||
Word Wizard | 479 | ||
First Things First | 479 | ||
Reasons for Ventilator Dependence | 480 | ||
Patient Evaluation | 482 | ||
Preparing the Patient | 485 | ||
Weaning Methods | 485 | ||
Spontaneous Breathing Trials | 487 | ||
Monitoring The Patient | 489 | ||
Extubation | 489 | ||
Failure To Wean | 490 | ||
Case Studies | 492 | ||
What does the NBRC Say? | 495 | ||
Food For Thought | 496 | ||
Chapter 48: Neonatal and Pediatric Respiratory Care | 497 | ||
Word Wizard | 497 | ||
Fetal Assessment | 497 | ||
Newborn Assessment | 499 | ||
Silverman: Assessing The Newborn | 500 | ||
Respiratory Care Techniques | 502 | ||
Oxygen Therapy | 502 | ||
Bronchial Hygiene | 502 | ||
Humidity and Aerosol Therapy | 503 | ||
Say “Yes” To Aerosol Drug Therapy | 504 | ||
Airway Management | 505 | ||
Advanced Fun And Games | 506 | ||
High-Flow Nasal Cannula | 507 | ||
Mechanical Ventilation | 507 | ||
High Frequency Ventil | 508 | ||
Just Say No | 509 | ||
Extracorporeal Membrane Oxygenation | 509 | ||
Hours of Boredom, Moments of Terror | 509 | ||
What does the NBRC Say? | 510 | ||
Food For Thought | 511 | ||
Section VII: Patient Education and Long-Term Care | 513 | ||
Chapter 49: Patient Education and Health Promotion | 513 | ||
Word Wizard | 513 | ||
Patient Education | 513 | ||
What’s in a Domain? | 514 | ||
Teaching Children | 515 | ||
Evaluation | 515 | ||
Health Education | 516 | ||
An Ounce of Prevention is Worth . . . | 516 | ||
Case Studies | 517 | ||
What Does the NBRC Say? | 519 | ||
Food for Thought | 519 | ||
Chapter 50: Cardiopulmonary Rehabilitation | 521 | ||
Word Wizard | 521 | ||
Definitions and Goals | 521 | ||
Scientific Basis For Pulmonary Rehabilitation | 522 | ||
Pulmonary Rehabilitation Programs | 523 | ||
Case Studies | 527 | ||
What does the NBRC say? | 527 | ||
Food for Thought | 528 | ||
Chapter 51: Respiratory Care in Alternative Settings | 529 | ||
Word Wizard | 529 | ||
Recent Trends | 529 | ||
Definitions and Goals | 530 | ||
Standards | 531 | ||
Traditional Acute Care | 531 | ||
Discharge Planning | 532 | ||
Oxygen Therapy | 532 | ||
Ventilatory Support | 535 | ||
Other Modes of Postacute Respiratory Care | 537 | ||
Patient Assessment and Documentation | 538 | ||
Equipment Disinfection and Maintenance | 538 | ||
Palliative Care | 539 | ||
Case Studies | 539 | ||
What does the NBRC say? | 540 | ||
Food for Thought | 541 |